EP2094330B1 - Blutbehandlungsgerät, speichermittel zur verwendung mit dem blutbehandlungsgerät und kombination des blutbehandlungsgeräts mit dem speichermittel - Google Patents

Blutbehandlungsgerät, speichermittel zur verwendung mit dem blutbehandlungsgerät und kombination des blutbehandlungsgeräts mit dem speichermittel Download PDF

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Publication number
EP2094330B1
EP2094330B1 EP07846660A EP07846660A EP2094330B1 EP 2094330 B1 EP2094330 B1 EP 2094330B1 EP 07846660 A EP07846660 A EP 07846660A EP 07846660 A EP07846660 A EP 07846660A EP 2094330 B1 EP2094330 B1 EP 2094330B1
Authority
EP
European Patent Office
Prior art keywords
blood treatment
treatment device
blood
patient
control unit
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Not-in-force
Application number
EP07846660A
Other languages
German (de)
English (en)
French (fr)
Other versions
EP2094330A2 (de
Inventor
Gail-Suzanne Brown
Reiner Spickermann
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Fresenius Medical Care Deutschland GmbH
Original Assignee
Fresenius Medical Care Deutschland GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Fresenius Medical Care Deutschland GmbH filed Critical Fresenius Medical Care Deutschland GmbH
Priority to PL07846660T priority Critical patent/PL2094330T3/pl
Publication of EP2094330A2 publication Critical patent/EP2094330A2/de
Application granted granted Critical
Publication of EP2094330B1 publication Critical patent/EP2094330B1/de
Not-in-force legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/16Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
    • A61M1/1698Blood oxygenators with or without heat-exchangers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/3679Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits by absorption
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/36Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
    • A61M1/38Removing constituents from donor blood and storing or returning remainder to body, e.g. for transfusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/35Communication
    • A61M2205/3546Range
    • A61M2205/3569Range sublocal, e.g. between console and disposable
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502User interfaces, e.g. screens or keyboards
    • A61M2205/505Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/52General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/59Aesthetic features, e.g. distraction means to prevent fears of child patients

Definitions

  • the invention relates to the field of blood treatment devices according to the preamble of claim 1.
  • blood from patients is first withdrawn from a patient via an extracorporeal circulation for the purpose of blood treatment, withdrawn from treatment at a blood treatment unit, and then returned to the patient.
  • a blood treatment unit is a hemodialyzer, which is subdivided by a semipermeable membrane into a blood chamber through which the patient's blood flows, and a dialysis fluid chamber through which a cleaning fluid, the dialysis fluid, flows.
  • the semipermeable membrane usually consists of thousands of individual hollow fibers. The substances to be removed from the blood pass by diffusion into the dialysis fluid and are removed therewith.
  • the blood treatment device designed in this case as a hemodialysis machine controls the provision of the dialysis fluid in the correct composition and temperature as well as the fluid removal.
  • the blood flow in the extracorporeal blood circulation is controlled by controlling a blood pump, which is usually designed as a roller pump, and monitored for alarm conditions.
  • Variations in this form of renal replacement therapy involve hemofiltration or hemodiafiltration in which instead of or in addition to the diffuse cleaning principle, fluid exchange is carried out by increased fluid removal and simultaneous exchange with a substitution solution.
  • the blood treatment unit used in this case should also be referred to below generally as a hemodialyzer.
  • blood treatment methods are known in which blood is subjected to treatment in an extracorporeal circuit.
  • examples include the use of oxygenators for artificial respiration, adsorbent columns for blood purification or blood centrifuges for the separation of blood components not only for therapeutic but also for donor purposes.
  • the patient which hereinafter also includes donors, is connected to the blood treatment device for carrying out the blood treatment for a longer period of time.
  • the corresponding time span can be several hours; in chronic renal replacement therapy, it is usually around four hours.
  • it is widely used to deliver them to clinics that visit patients for outpatient treatment on a regular basis, three times a week on average.
  • multiple patients are treated simultaneously in a larger room, with patients unable to leave the treatment room due to the permanent connection to the blood treatment device.
  • EP-A-1 195 708 describes a blood treatment system in which the user interface for use by the clinician accesses a web server in the blood treatment system via a web browser.
  • the web server thus makes information about the blood treatment system available to the clinic staff.
  • Clinicians can use the user interface to operate the blood treatment system, such as changing the infusion rate.
  • access to the web server can be made remotely via an external web browser. In this way the data transmission is standardized.
  • the external browser provides access for a service technician to track treatment, provide technical support, or initiate maintenance operations.
  • different authorizations are set in the Web server, which are based on the origin of the command.
  • a second user interface may be provided for the use of connected data networks by the patient.
  • the invention is based on the object to further develop a generic blood treatment device such that a certain individualization of the treatment center is possible with little or no additional effort to make the treatment environment for a patient to be treated with the device pleasant.
  • this object is achieved by a blood treatment device having the features of claim 1, a use of an external storage means with the blood treatment device according to the invention with the features of claim 12 and a combination of a blood treatment device with an external storage means having the features of claim 14.
  • Advantageous embodiments are the subject of the dependent claims.
  • the invention is based on the observation that for the individualization of a treatment center a decisive contribution can be made if the patient is enabled to be able to view images or views selected by him during the treatment. Since today's blood treatment equipment is generally equipped with sufficient storage space for control programs and data as well as a display unit configured as a screen, corresponding image files can be displayed on the screen of the blood treatment device.
  • the image files can be brought by the patient on a mostly existing anyway chip card for storing patient and / or treatment data or other suitable storage media such as a USB stick. It may also be sufficient that the image files are already stored on another storage means, which is connected to the control unit of the blood treatment device, and limit the data brought by the patient to an indexed selection of the images to be displayed.
  • the selection or the image files are transmitted via a data interface connected to the control unit in the blood treatment device or queried by the control unit if necessary.
  • the control unit according to the invention is configured to display the thus selected image files during the blood treatment on the screen of the blood treatment device. This can be done in a fixed sequence in terms of a slideshow or be predetermined by an individual specification of the patient. In the simplest case, only the representation of a single image can take place. After completion of the treatment, the display of the image files can be ended automatically, so that no conversion is required. Rather, by initiating the next treatment and by transferring the individual image files or at least the individual image indexing, an adaptation of the environment is also achieved in a simple manner in the subsequent patient. Due to the inventive design of the blood treatment device succeeds in an individualization of the treatment center without significant additional effort.
  • the blood treatment device has internal storage means for storing the image files associated with the control unit for retrieving the image files.
  • the data interface is a USB interface.
  • This widespread type of interface allows the connection of particular data carriers such as a USB stick.
  • a USB stick is an example of the connection of the data interface to an external storage means.
  • any other storage means can be considered.
  • These can be flexible and mobile use like a USB stick, such as in the form of a memory chip card. It is also conceivable to use a data transmission to a remote memory via a network.
  • a memory chip card has the advantage that such a card is already widely used in the blood treatment devices on the market as the so-called patient card for storing treatment and / or patient data.
  • This card can also be used in a particularly advantageous embodiment of the invention as an external storage means for transmitting or indexing the image files to be displayed.
  • the control unit may be further configured to display the image files as a background image on the screen.
  • displayed blood treatment information can be partially or completely hidden to display the image files.
  • the control unit may be designed to be on the entry of predefined Conditions undoes the fade out and / or displays new treatment information.
  • Such predefined conditions may correspond to alarm conditions, and the new treatment information may represent alarms. It is also advantageous if the predefined conditions include the actuation of the input means. In this way, the user immediately obtains the normal appearance on the screen when operating the input means.
  • the input means can be designed as separate from the screen elements such as buttons or knobs. However, the input means may also comprise the screen itself, if this is designed as a touch-sensitive screen (touch screen).
  • the invention likewise includes the use of an external storage means the use of a blood treatment device according to the invention, which is designed for connection to the data interface of the blood treatment device for transmitting and / or indexing the image files to be displayed on the screen during a blood treatment.
  • This external storage means is preferably - as already explained - as a USB stick or designed as a memory chip card.
  • the invention comprises a combination consisting of the blood treatment device according to the invention and an external storage means.
  • Fig. 1 An embodiment of a blood treatment device 10 according to the invention can be seen.
  • the blood treatment device 10 is used to perform a blood treatment with the aid of an extracorporeal blood circuit 30, which is not directly part of the blood treatment device 10, but whose components are discarded after each treatment.
  • the extracorporeal blood circuit includes a blood supply line 31 for supplying the blood of a patient to a blood treatment unit 32 and a blood discharge line 33 for returning the blood.
  • the blood treatment device 10 has means for conveying the blood in the extracorporeal blood circulation in the form of a blood pump 11.
  • Fig. 1 only the components are shown that are necessary for understanding the invention. It is well known to those skilled in the art that further components in each case will be added in order to perform a wide variety of tasks during a blood treatment.
  • the blood treatment element 32 is a hemodialyzer in the case that the blood treatment device 10 is a hemodialysis machine.
  • Fig. 1 schematically a holder 12 for holding the blood treatment element 32 to the blood treatment device 10 is shown. Possibly other connections as in the case of hemodialysis for the supply and discharge of the dialysis fluid are suppressed.
  • the blood treatment device 10 comprises a screen 13, which is designed as a touch-sensitive screen in order to simultaneously serve as input means. Furthermore, some input means, designed as so-called hard keys 14, for example in the form of keys, are provided next to the screen 13.
  • a data interface 15 is also provided, which is designed as a chip card reader or USB interface.
  • a control unit 16 and an internal storage means 17, which are located in the interior of the blood treatment device 10. The control unit 16, the internal storage means 17, the screen 13 and the data interface 15 are connected to each other via a communication bus, not shown.
  • the blood treatment device 10 now operates as follows: For a blood treatment, for example a hemodialysis treatment, the patient brings with him an external storage device designed as a memory chip card 20. On the memory chip card 20 Patient data such as name, height, weight and data on past treatments such as time, duration and treatment dose as well as the data prescribed by the doctor about the treatment to be performed can be stored. In general, the patient has no direct access to these data, at least he can change them only to a limited extent or not at all without special authorization. In addition to these data, however, image files are also stored on the memory chip card 20 which the patient has previously loaded onto the memory chip card 20 in a memory area reserved for this purpose.
  • the memory chip card is now introduced before the treatment in the data interface 15, which is designed as a chip card reading and writing device.
  • the control unit 16 is configured to read the treatment data for the treatment to be performed from the memory chip card 20 and store it in the internal storage means 17.
  • the image files which are preferably stored in a common and compressed format such as JPEG, TIFF or PDF on the chip card, are also transferred to the internal storage means 17.
  • information can be stored on the memory chip card 20, in which order the image files should later be displayed on the screen 13. It can also be provided that the patient on the screen 13 a kind of selection directory of the available image files is displayed and this can select the sequences to be displayed using the touch-sensitive screen 13 and / or the hardkeys 14.
  • a memory area for each patient can be reserved in the internal storage means 17 so that the image files can also be available for subsequent treatments. Then it may be sufficient to store only the image sequences indexed on the memory chip card 20 in order to be able to display image files already stored in the internal storage means 17 during a treatment.
  • the data interface 15 as a USB interface, it makes sense to have the images stored on the external storage means, which in this case may be in the form of a USB stick with immense storage capacity.
  • the image files can also be present as a movie file with sufficient storage capacity
  • the term "image file" should explicitly include movie files.
  • the control unit 16 After connecting the patient to the conduits of the extracorporeal blood circuit 30 and the beginning of the blood treatment, the control unit 16 starts to use the previously used display screen for displaying the treatment information (treatment information mode) as shown very schematically in FIG Fig. 2a is shown hide. Instead, the image files selected and recorded by the patient are displayed (image display mode), as shown schematically in FIG Fig. 2b is shown. A few, particularly important treatment data can remain faded in (not shown), so that the images are displayed as a background image.
  • control unit 16 determines that due to the occurrence of predetermined conditions such as alarm conditions, touching the screen 13 or pressing the hard keys 14 to display treatment information, it changes the screen display accordingly.
  • predetermined conditions such as alarm conditions, touching the screen 13 or pressing the hard keys 14 to display treatment information
  • additional visual and / or acoustic signals are optionally emitted at the same time, in order to draw the attention of the patient or the operator to the alarm state.
  • the control unit 16 can automatically switch to this display mode even after a predetermined period of time. It can also be provided that the image display mode is generally activated by the control unit 16 as a kind of screen saver after a predetermined period of time.
  • control unit 16 immediately interrupts the data interface 15, for example, after removing the external memory means 20 immediately in the treatment information mode and optionally blocks access to the stored for the patient in the internal storage means 17 image files.
  • the blood treatment device With the help of the blood treatment device according to the invention, it is possible to customize the treatment center for a patient who has to undergo an outpatient for several hours of blood treatment, and thus to ensure increased well-being in the patient during the blood treatments.
  • images familiar to the patient for example by depicting relatives or landscape images, an appreciation of the treatment environment, which otherwise has little individual effect, is possible.

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Urology & Nephrology (AREA)
  • Anesthesiology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Emergency Medicine (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)
EP07846660A 2006-11-20 2007-11-19 Blutbehandlungsgerät, speichermittel zur verwendung mit dem blutbehandlungsgerät und kombination des blutbehandlungsgeräts mit dem speichermittel Not-in-force EP2094330B1 (de)

Priority Applications (1)

Application Number Priority Date Filing Date Title
PL07846660T PL2094330T3 (pl) 2006-11-20 2007-11-19 Urządzenie do obróbki krwi, środek pamięciowy do zastosowania w urządzeniu do obróbki krwi oraz kombinacja urządzenia do obróbki krwi ze środkiem pamięciowym

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102006054872A DE102006054872A1 (de) 2006-11-20 2006-11-20 Blutbehandlungsgerät, Speichermittel zur Verwendung mit dem Blutbehandlungsgerät und Kombination des Blutbehandlungsgeräts mit dem Speichermittel
PCT/EP2007/009981 WO2008061685A2 (de) 2006-11-20 2007-11-19 Blutbehandlungsgerät, speichermittel zur verwendung mit dem blutbehandlungsgerät und kombination des blutbehandlungsgeräts mit dem speichermittel

Publications (2)

Publication Number Publication Date
EP2094330A2 EP2094330A2 (de) 2009-09-02
EP2094330B1 true EP2094330B1 (de) 2012-01-11

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Family Applications (1)

Application Number Title Priority Date Filing Date
EP07846660A Not-in-force EP2094330B1 (de) 2006-11-20 2007-11-19 Blutbehandlungsgerät, speichermittel zur verwendung mit dem blutbehandlungsgerät und kombination des blutbehandlungsgeräts mit dem speichermittel

Country Status (7)

Country Link
US (1) US20100049114A1 (pl)
EP (1) EP2094330B1 (pl)
AT (1) ATE540712T1 (pl)
DE (1) DE102006054872A1 (pl)
ES (1) ES2379020T3 (pl)
PL (1) PL2094330T3 (pl)
WO (1) WO2008061685A2 (pl)

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US8029454B2 (en) * 2003-11-05 2011-10-04 Baxter International Inc. High convection home hemodialysis/hemofiltration and sorbent system
US10089443B2 (en) 2012-05-15 2018-10-02 Baxter International Inc. Home medical device systems and methods for therapy prescription and tracking, servicing and inventory
CA2799851C (en) 2010-05-21 2019-11-05 Gambro Lundia Ab User interface, machine and method
US9408958B2 (en) 2010-12-17 2016-08-09 Fresenius Medical Care Holdings, Inc. User interfaces for dialysis devices
DE102010056605A1 (de) * 2010-12-28 2012-06-28 B. Braun Avitum Ag Computerbasiertes Dialoggerät zur medizinischen Überwachung des Dialysevorgangs
CN105013032B (zh) 2014-03-31 2018-06-22 甘布罗伦迪亚股份公司 体外血液处理系统及用于该系统的方法
DE102022134797A1 (de) 2022-12-23 2024-07-04 Fresenius Medical Care Deutschland Gmbh Blutbehandlungssystem zur extrakorporalen Blutbehandlung

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Publication number Publication date
DE102006054872A1 (de) 2008-05-21
WO2008061685A2 (de) 2008-05-29
ATE540712T1 (de) 2012-01-15
EP2094330A2 (de) 2009-09-02
WO2008061685A3 (de) 2008-07-10
US20100049114A1 (en) 2010-02-25
WO2008061685A9 (de) 2009-03-05
PL2094330T3 (pl) 2012-06-29
ES2379020T3 (es) 2012-04-20

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